8872 Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices 

merger transaction may find additional 

guidance in the reported bases for FDIC 

approval or denial in prior merger 

transaction cases compiled in the FDIC’s 

annual ‘‘Merger Decisions’’ report. 

Reports may be obtained from the FDIC 

Public Information Center, 3501 North 

Fairfax Drive, Room E–1002, Arlington, 

VA 22226. Reports may also be viewed 

at http://www.fdic.gov. 

III. Evaluation of Merger Applications 

* * * * * 

4. Consideration of the public interest. 

The FDIC will deny any proposed 

merger transaction whose overall effect 

likely would be to reduce existing 

competition substantially by limiting 

the service and price options available 

to the public in the relevant geographic 

market(s), unless the anticompetitive 

effects of the proposed merger 

transaction are clearly outweighed in 

the public interest by the probable effect 

of the transaction in meeting the 

convenience and needs of the 

community to be served. For this 

purpose, the applicant must show by 

clear and convincing evidence that any 

claimed public benefits would be both 

substantial and incremental and 

generally available to seekers of banking 

services in the relevant geographic 

market(s) and that the expected benefits 

cannot reasonably be achieved through 

other, less anticompetitive means. 

Where a proposed merger transaction 

is the least costly alternative to the 

probable failure of an insured 

depository institution, the FDIC may 

approve the merger transaction even if 

it is anticompetitive. 

By Order of the Board of Directors. 

Dated at Washington, DC, the 19th day of 

December, 2007. 

Federal Deposit Insurance Corporation. 

Robert E. Feldman, 

Executive Secretary. 

[FR Doc. E8–2885 Filed 2–14–08; 8:45 am] 

BILLING CODE 6714–01–P 

FEDERAL HOUSING FINANCE BOARD 

Sunshine Act Meeting Notice; 

Announcing a Partially Open Meeting 

of the Board of Directors 

TIME AND DATE: The open meeting of the 

Board of Directors is scheduled to begin 

at 10 a.m. on Wednesday, February 20, 

2008. The closed portion of the meeting 

will follow immediately the open 

portion of the meeting. 

PLACE: Board Room, First Floor, Federal 

Housing Finance Board, 1625 Eye Street 

NW., Washington DC 20006. 

STATUS: The first portion of the meeting 

will be open to the public. The final 

portion of the meeting will be closed to 

the public. 

MATTER TO BE CONSIDERED AT THE OPEN

PORTION: Amendment to the Capital 

Structure Plan of the Federal Home 

Loan Bank of Seattle. 

MATTER TO BE CONSIDERED AT THE CLOSED

PORTION: Periodic Update of 

Examination Program Development and 

Supervisory Findings. 

CONTACT PERSON FOR MORE INFORMATION: 

Shelia Willis, Paralegal Specialist, 

Office of General Counsel, at 202–408–

2876 or williss@fhfb.gov. 

Dated: February 12, 2008. 

By the Federal Housing Finance Board. 

Neil R. Crowley, 

Acting General Counsel. 

[FR Doc. 08–742 Filed 2–13–08; 1:24 pm] 

BILLING CODE 6725–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: 

‘‘Feasibility of secure messaging for 

pediatric patients with chronic disease: 

Pilot implementation in pediatric 

respiratory medicine.’’ In accordance 

with the Paperwork Reduction Act of 

1995, 44 U.S.C. 3506(c)(2)(A), AHRQ 

invites the public to comment on this 

proposed information collection. 

DATES: Comments on this notice must be 

received by April 15, 2008. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov. 

Copies of the proposed collection 

plans, data collection instruments, and 

specific details on the estimated burden 

can be obtained from the AHRQ Reports 

Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ Reports 

Clearance Officer, (301) 427–1477, or by 

e-mail at doris.lefkowitz@ahrq.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Feasibility of Secure Messaging for 

Pediatric Patients With Chronic Disease: 

Pilot Implementation in Pediatric 

Respiratory Medicine 

AHRQ proposes to evaluate how the 

implementation of a secure email 

messaging (e-messaging) system 

between clinicians and adolescent 

patients affects: (1) Time spent by 

providers communicating with patients, 

(2) Emergency Department utilization 

for medication refills, and (3) qualitative 

satisfaction with care of the patients. 

The study will be conducted in the Yale 

University School of Medicine Pediatric 

Respiratory Medicine Clinic. 

Several studies have evaluated the use 

of e-mail between providers and 

patients and found that it is typically 

satisfactory to both, has not been abused 

by patients, and has not been used 

inappropriately for urgent items. 

Studies have not evaluated the use of emailing or secure messaging by children 

or adolescents with chronic diseases as 

well as their families. The setting of 

chronic disease provides a natural 

forum for discussion about the use of 

such technologies since these families 

may need more frequent contact with 

their care-providers, need more frequent 

medication refills, and may have close 

relationships with their providers that 

encourage a communication genre such 

as secure messaging. 

In particular, because many 

adolescents are comfortable with text 

messaging and email, the investigators 

hypothesize that adolescent patients 

themselves may feel empowered to 

contact their providers using this 

medium. This potential shift to having 

adolescents communicate with the 

providers presents two main hypotheses 

of interest. (1) Adolescents may be more 

prone to send a message that may be of 

an urgent nature because of the sense 

that messaging is‘‘instant’’ as well as a 

possible feeling of more privacy. This 

issue presents the concern that 

adolescents in particular could send a 

secure message about information that is 

potentially urgent in nature such as a 

severe asthma exacerbation or suicidal 

ideation. Such messages will need 

immediate attention. (2) Adolescents 

may be more apt to disclose questions 

about their care that they would not 

have otherwise brought up with the 

provider. By giving adolescents a 

medium where they feel comfortable 

communicating, clinicians may be able 

to better meet the medical and 

psychosocial needs of adolescents and 

their families. 


rwilkins on PROD1PC63 with NOTICES
Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices 8873 

Method of Collection 

The project will include 300 patient/ 

family participants and 138 provider 

participants. Data will be collected from 

(1) e-messaging content, to understand 

what children, adolescents and their 

parents will send in secure messages to 

their provider; (2) a survey, to determine 

the demographic characteristics of the 

patients and their family; and (3) 

qualitative interviews with patients and 

their families and clinic staff, to assess 

their attitudes and satisfaction with emessaging. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours. Each of the 

300 patient/family participants will 

complete a demographic survey and use 

the e-messaging system, sending an 

average of one e-message per month. 

Thirty of the patient/family participants 

will be randomly selected to participate 

in a qualitative interview. Each of the 

138 provider participants will use the emessaging system, responding to about 

twenty-six e-messages per year, and 

keep a pre- and post-intervention log of 

patient/provider communications. Ten 

provider participants will be randomly 

selected to participate in a qualitative 

interview. The total burden for all 

participants is estimated to be 2,148 

hours. 

Exhibit 2 shows the estimated 

annualized cost burden for the 

participants’ time to participate in this 

study. The total cost burden for all 

participants is estimated to be $72,664. 

EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN HOURS

Interview participants Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Total burden 

hours 

Patient/Family Participants: 

Demographic Survey ................................................................................ 300 1 1 300 

E-messaging ............................................................................................. 300 12 15/60 900 

Qualitative Interview ................................................................................. 30 1 30/60 15 

Provider Participants: 

E-messaging ............................................................................................. 138 26 15/60 900 

Qualitative Interviews ............................................................................... 10 1 30/60 5 

Pre-intervention Provider Log ................................................................... 138 1 6/60 14 

Post-intervention Provider Log ................................................................. 138 1 6/60 14 

Total ................................................................................................... 438 na na 2,148 

EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN

Interview participants Number of 

respondents 

Total burden 

hours 

Average 

hourly wage 

rate* 

Total cost 

burden 

Patient/Family Participants: 

Demographic Survey ................................................................................ 300 300 $26.20 $7,860 

E-messaging ............................................................................................. 300 900 26.20 23,580 

Qualitative Survey .................................................................................... 30 15 26.20 393 

Provider Participants: 

E-messaging ............................................................................................. 138 900 43.78 39,402 

Qualitative Interviews ............................................................................... 10 5 43.78 219 

Pre-intervention Provider Log ................................................................... 138 13.8 43.78 605 

Post-intervention Provider Log ................................................................. 138 13.8 43.78 605 

Total ................................................................................................... 438 na na 72,664 

* For Patient/Family Participants: Based upon the mean of the average wages for all occupations, National Compensation Survey, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ 

* For Provider Participants: Based upon the mean of the average wages for physicians ($65.54/hr) and nurses ($43.85/hr) in the New York, 

New Jersey, Connecticut and Pennsylvania region, National Compensation Survey, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ For 

Pulmonary Fellows: Based upon internal Yale University School of Medicine data. 


rwilkins on PROD1PC63 with NOTICES
8874 Federal Register / Vol. 73, No. 32 / Friday, February 15, 2008 / Notices 

Estimated Annual Costs to the Federal 

Government 

The total cost to the Federal 

Government for this project is $399,970 

over a two year period. The average 

annual cost is $199,985. The following 

is a breakdown of the average annual 

costs: 

Direct Costs: 

Personnel .................... $159,488 .5 

Consultancies .............. 5,475 

Data support ................ 5,336 .5 

Indirect Costs: 

Indirect costs ............... 29,685 

Total ..................... 199,985 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ health care research and health 

care information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. 

All comments will become a matter of 

public record. 

Dated: February 6, 2008. 

Carolyn M. Clancy, 

Director. 

[FR Doc.08–659 Filed 2–14–08; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Agency for Healthcare Research 

and Quality, HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

intention of the Agency for Healthcare 

Research and Quality (AHRQ) to request 

that the Office of Management and 

Budget (OMB) approve the proposed 

information collection project: 

‘‘Improving Quality through Health IT: 

Testing the Feasibility and Assessing the 

Impact of Using Existing Health IT 

Infrastructure for Better Care Delivery.’’

In accordance with the Paperwork 

Reduction Act of 1995, 44 U.S.C. 

3506(c)(2)(A), AHRQ invites the public 

to comment on this proposed 

information collection. 

DATES: Comments on this notice must be 

received by April 15, 2008. 

ADDRESSES: Written comments should 

be submitted to: Doris Lefkowitz, 

Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov. 

Copies of the proposed collection 

plans, data collection instruments, and 

specific details on the estimated burden 

can be obtained from the AHRQ Reports 

Clearance Officer. 

FOR FURTHER INFORMATION CONTACT: 

Doris Lefkowitz, AHRQ Reports 

Clearance Officer, (301) 427–1477, or by 

e-mail at doris.lefkowitz@ahrq.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

Proposed Project 

Improving Quality Through Health IT: 

Testing the Feasibility and Assessing the 

Impact of Using Existing Health IT 

Infrastructure for Better Care Delivery 

AHRQ proposes to assess how the use 

of health information technology (IT) 

can improve care delivery and outcomes 

in community health centers. AHRQ is 

specifically interested in improving the 

quality of care provided in a community 

clinic setting through better 

management of laboratory information. 

The study will measure the impact of 

health IT tools on two problems: 

duplicate laboratory tests and the failure 

to follow up on laboratory test results of 

HIV patients and women screened for 

cervical cancer. In addition, AHRQ will 

measure the impact of health IT on 

compliance with evidence-based 

guidelines for laboratory tests. The 

study will also investigate whether 

disparities between vulnerable 

populations and the general population 

exist in both laboratory screening rates 

and rates of abnormal laboratory test 

results without follow up. To assess the 

extent of these problems and the impact 

of health IT, AHRQ will evaluate both 

quantitative and qualitative 

components. The qualitative component 

will use interviews with key informants 

in two community health centers to 

gather data on laboratory information 

processes, laboratory information 

communication problems and use of 

health IT tools. 

Method of Collection 

Quantitative data will be collected 

directly from the clinical data 

warehouse used by the participating 

community health centers to routinely 

collect laboratory data. The collection 

will be accomplished using database 

reports. Qualitative data will be 

collected through key informant 

interviews conducted in each of the two 

participating community health centers. 

Key informants will include physicians, 

nurses, medical assistants, IT personnel, 

and administrators. The total number of 

interviews to be conducted at both sites 

is forty-one. 

Estimated Annual Respondent Burden 

Exhibit 1 shows the estimated 

annualized burden hours. A total of 

forty-one in-person interviews will be 

conducted with administration and 

clinical personnel: eighteen interviews 

from administrative personnel and 

twenty-three interviews from clinical 

personnel. The question set is the same 

for both clinical and administrative 

personnel. The estimated time per 

response is 1.5 hours for a total of 61.5 

burden hours. 

Exhibit 2 shows the estimated 

annualized burden for the respondents’

time to provide the requested data. The 

hourly rate of $32.13 is a weighted 

average of the administrative personnel 

hourly wage of $19.68 and the clinical 

personnel hourly wage of $41.88. The 

total cost burden is $1,976. 


rwilkins on PROD1PC63 with NOTICES